Main Article Content
Purpose: To study the effect of the coaching program in health behaviors modification of persons
Design: Quasi-experimental research
Methods: The subjects were 60 persons with prediabetes in out-patient clinic, Medicine Department
of Phrachomklao hospital, Phetchaburi province. Thirty persons with prediabetes per group were
matched by sex, age and use of Metformin. The control group received the normal nursing care
whereas the experimental group received the coaching program in health behaviors modification.
The research instrument were the coaching program in health behaviors modification based on
the concept of Haas (1992), The data were collected by demographic data, HbA1C level and
health behaviors modification of pre-diabetes patient questionnaire. The content validity was
.90 and reliability was .71. Percentage, mean, standard deviation and t-test were used to analyze
Findings: 1) The mean of HbA1C level of pre-diabetes persons after receiving the coaching
program in health behaviors modification was significantly lower than before receiving the program
at the significance level of .05
2) The mean of HbA1C level of pre-diabetes persons after receiving the coaching
program in health behaviors modification was significantly lower than the control group at the
significance level of .05
Conclusion: The coaching program in health behaviors modification has been shown to be
effective for decreasing HbA1c level of persons with pre-diabetes.
ลิขสิทธิ์ของบทความที่ตีพิมพ์เป็นของวารสารพยาบาลศาสตร์ จุฬาลงกรณ์มหาวิทยาลัย ทั้งฉบับตีพิมพ์เป็นรูปเล่มและเอกสารออนไลน์
Aekplakorn W, et al. Thai National Health ExaminationSurvey, NHESV. Nonthaburi: HealthSystemsResearchInstitute;2014.
Srichang N. Prediction of Type 2 Diabetes Population in Thailand, 2011-2020. Weekil Epidemiological Surveillance Report 2009;41(39):622-4. (In thai)
American Diabetes Association. Classification and Diagnosisof Diabetes. Diabetes Care2017;40(1):s11-24.
Plantinga LC, Crews DC, Coresh J, Miller ER, Saran R, Yee J, et al. Prevalence ofchronickidney diseasein USadults with undiagnosed diabetes or prediabetes. Clinical Journalof the AmericanSociety of Nephrology 2010;5(4):673-82.
Diabetes Association of Thailand. Clinical Practice Guideline for Diabetes 2017. Pathumthani: Romyen-media; 2017.
Chen MF, Wang RH, Hung SL. Predicting health-promotingself-care behaviors inpeople with pre-diabetes by applying Bandurasocial learningtheory. Applied Nursing Research 2015;28(4):299-304.
IntarawichianS. Changing Health behavior by participate to sustainable, in the diabetes mellitus risk group,Kasetwisai district: Roi-et province. The Office of DiseasePreventionand Control7Khon Kaen 2012;19(2):65-75. (In thai)
DheengarmB,TiautchasuwanY,Boromtanarat C. Factors Affecting the Practice in PreventionofDiabetesandHypertension of Population at Risk Group in the Responsible Area of Ban Phon Muang
Health Center, Chumphonburi District, Surin Province. Research and Development Health System Journal 2012;
(3):127-34. (In thai)
Banklang A,MuktabhantB. DiabetesPrevention attitude among government and state enterpriseemployees withPrediabetes in Muang District, Khon Kaen Province. JournalofTheofficeof DPC 6Khonkaen 2011;18(2):38-46. (In thai)
JallinojaP,PajariP, AbsetzP.Repertoiresof lifestyle change and self-responsibility among participants in an intervention to prevent type2 diabetes.Scandinavian Journal of Caring Sciences 2008;22(3):455-62.
Geiss LS, James C, Gregg EW, Albright A, Williamson DF, Cowie CC. Diabetes risk reduction behaviors among US adults with prediabetes. American journal of preventive medicine 2010;38(4):403-9.
ChenSF,Lin CC.The predictorsofadopting a health-promoting lifestyle among work site adults with prediabetes. Journalofclinicalnursing2010;19(19-20): 2713-9. doi: 10.1111/j.1365-2702.2010. 03320.x.
Sherifali D. Diabetescoachingfor individuals with type 2 diabetes: A state-of-thescience review and rationale for a coaching model. Journal of Diabetes 2017;9(6):547-54.
PikunP, NavicharernR.TheEffectof Coaching Program for Lifestyle Modification on HbA1c Level in Newly Diagnosed Type 2 Diabetic Persons. Royal Thai Navy Medical Journal2016;43(2):55-73.(In thai)
Navicharern R, Aungsuroch Y, Thanasilp S. Effectsof Multifaceted Nurse-Coaching Interventionon Diabetic Complications and SatisfactionofPersons withType2 Diabetes. Journal of the Medical Association of Thailand 2009;92(8): 1102-12. (In thai)
Whittemore R, Melkus GD, Sullivan A, Grey M. A nurse-coaching intervention for women with type 2 diabetes. The diabetes educator 2004;30(5):795-804.
Haas SA. Coaching: DevelopingKeyPlayers. Journalof Nursing Administration1992; 22(6):54-8.
Diabetes Prevention Program Research Group. The prevalence of retinopathy in impaired glucose tolerance and recent-onset diabetes in the Diabetes Prevention Program. Diabetic Medicine 2007;24(2):137-44.